论文部分内容阅读
本文报道我科收治的26例经粪培养证实的鼠伤寒沙门氏菌感染患儿,其中男女各13例,小婴儿居多,<6月为18例。腹泻前原发疾病有新生儿肝炎综合症、癫癎、先天性心脏病、脑脓肿、早产儿等。临床表现有发热(96.1%),腹泻(100%),少数病人有呕吐及呼吸道症状。大便呈多样性、易变性,绿色大便有诊断价值,4例有里急后重,腹泻病程迁延,平均为18.7天。粪便检查91%有白细胞增多;3例血培养阳性。本组并发症有麻痹性肠梗阻,肠原性肢皮炎,霉菌性败血症,化脓性脑膜炎等,6例对庆大,SM Zco,吡啶酸有效,细菌普遍耐药。共死亡5例,死因除1例外均与本病有关。
This article reports the treatment of 26 cases of Salmonella typhimurium infection confirmed by fecal culture in our department, including 13 males and 13 females, mostly infants, <18 in 18 cases. Primary diseases before diarrhea neonatal hepatitis syndrome, epilepsy, congenital heart disease, brain abscess, premature children and so on. Clinical manifestations of fever (96.1%), diarrhea (100%), a small number of patients with vomiting and respiratory symptoms. Stool was diversity, variability, green stools have diagnostic value, 4 cases have tenesmus, duration of diarrhea, with an average of 18.7 days. 91% of stool examination had leukocytosis; 3 blood cultures were positive. Complications of this group of paralytic ileus, intestinal protracted dermatitis, fungal septicemia, purulent meningitis, 6 cases of Qingda, SM Zco, pyridine acid effective, bacteria are generally resistant. A total of 5 deaths, the cause of death except 1 exception are related to the disease.